- Humana (Atlanta, GA)
- …prior authorization, claims , and/or utilization management in healthcare, health insurance , evaluating medical necessity and appropriateness of care + Health ... skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management… more
- J&J Family of Companies (Atlanta, GA)
- …eligible to participate in the following Company sponsored employee benefit programs: medical , dental, vision, life insurance , short- and long-term disability, ... on product coverage, prior authorizations and appeals, reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations (local… more
- RELX INC (Alpharetta, GA)
- …Risk Solutions focuses on defining the strategy, roadmap, features, and success metrics for claims solutions within the insurance market. We are committed to our ... Solutions is the essential partner in the assessment of risk. Within our Insurance vertical, we provide customers with solutions and decision tools that combine… more
- Walgreens (Augusta, GA)
- …systems to further promote productivity. + Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment rejections. ... Follows-up with insurance companies as well as medical providers and participates in 3rd party audit. + Follows-up with medical providers' offices to clarify… more
- Catholic Health Initiatives (Ringgold, GA)
- …off), Professional Dues, and Relocation Reimbursement + Relocation Assistance Offered + Malpractice Insurance (Modified Claims Made) + Cell Phone Stipend + Full ... **Responsibilities** Under indirect supervision, provides and manages direct medical evaluation, diagnosis, procedures, and care for patients within a recognized… more
- Walgreens (Douglasville, GA)
- …systems to further promote productivity. + Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment rejections. ... Follows- up with insurance companies as well as medical providers and participates in 3rd party audit. + Follows-up with medical providers' offices to… more
- Morley (Atlanta, GA)
- …more time for you. + Receive a steady paycheck and excellent benefits including medical , dental, vision and life insurance ; 401(k) with match; paid time off; ... provides - your total compensation package. **_Health & Wellness Benefits_** + Medical and prescription coverage, including free annual physicals + Dental and vision… more
- CGI Technologies and Solutions, Inc. (Atlanta, GA)
- …3+ years with Guidewire (PC or CC). * Strong understanding of P&C insurance operations (underwriting, billing, claims ). * Experience with Agile and hybrid ... eligible members * Generous holidays, vacation, and sick leave plans * Comprehensive insurance plans that include, among other benefits, medical , dental, vision,… more
- Point32Health (GA)
- …and Federal regulatory requirements + Manage the collection of documents and records ( medical , claims , administrative) needed to fully research the appeal or ... NCQA (National Committee for Quality Assurance), DOI (Dept of Insurance ), CMS, DOL and any state or federal specific...and comprehensive total rewards package which currently includes: + Medical , dental and vision coverage + Retirement plans +… more
- Peachtree Orthopedics (Sandy Springs, GA)
- …payments, maintain a daily collection sheet, and reconcile daily receivables. Create insurance claims and patient statements. + Patient Advocacy: Assist patients ... in patients, verify appointments, update demographic information, and process insurance and referrals. + Effective Communication: Answer incoming calls, provide… more